Generally speaking, if people are prepared to stick their heads above the power pit, like Zinn says, and absorb what's going on around them, it makes them think. ↗
There is a lot of waste in government-run programs generally, and a lot of waste and fraud and misuse of money in Medicare and Medicaid that can be saved. ↗
Generally I finish a first draft in 2-6 months, then I set it aside for a while so that when I come back to it I can read it with fresh eyes and figure out how to improve it. ↗